Individual
MR. BRUCE E CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1401 HOSPITAL DR, STE# 106, HURRICANE, WV 25526-9237
(304) 757-8650
(304) 757-0633
Mailing address
1401 HOSPITAL DR, STE# 106, HURRICANE, WV 25526-9237
(304) 757-8650
(304) 757-0633
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
384
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164604000
—
WV
Enumeration date
11/01/2006
Last updated
07/09/2007
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